John William Stephens, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13409 Issued in TX

Practice address

5336 N Tarrant Pkwy
Keller, TX 76248-6293

Phone

(817) 656-9078

Fax

(817) 656-9089

NPI assigned

Aug 6, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christina Greene Family Dentistry

  • Dental Clinic/Center
  • Fort Worth, TX
  • NPI 1053920629
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1043401037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 N TARRANT PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486293",
            "telephone_number": "817-656-9078",
            "fax_number": "817-656-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 N TARRANT PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486293",
            "telephone_number": "817-656-9078",
            "fax_number": "817-656-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Starnes, FNP-BC
• Elizabeth Erin Stasey, LPC
• Steadfast Anesthesia Associates PLLC
• Josette Stegmair, FNP
• Kylie Rose Steimer, PA-C
• Danielle Nicole Stevens
• Rachelle Stevens, RBT
• Amaya Jolyn Stevenson
• Kristen Stevenson, DO
• Stephanie Dawn Stevenson

• General Practice Dentistry in Keller, TX
• Providers in Keller, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.